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This Enrolment Contract is subject to Private Carrier College Act 2005 And the regulations made under the Act:

Enrolment Date:

International Student:
YesNo

Language Of Instruction:
EnglishOther

Name Of Program:

Advanced Standing:
YesNo

Student Number:

Advance Standing Details(Attach copy of skills assesment if Advance standing applies):

Start Date:

Expected End Date:

*This programm has been deemed as a non-continuous program.
This means there are fixed number of hours of instructions that may be deliver over an indefinite period of time.

Student personal Information

Title:

Last name:

First name:

Initial:

Date of Birth:

Social Insurance Number:

Gender:
MaleFemale

Residential Address:

Unit:

City:

Province:

Postal Code:

Add this address as Permanent address

Permanent Address:

Unit:

City:

Province:

Postal Code:

Cell Number:

Home Number:

Emergency Contact Number:

Email:

Driving License:

Emergency Contact Name:

Employer Information

Search Employer:

Supervisor Title :

Supervisor Family Name:

Supervisor Given Name:

Supervisor Phone:

Supervisor Phone Ext:

Admission Requirements:

Minimum 18 years of age	Knowledge verification of Rules of the Rad and Signs
Valid class 'G' Licence	Completed and Approved Medical Form of the Onterio Ministry of transportation
Grade 10 English or equivalency (Wonderlic)

Student Acknowledgement

The College's Refund Policy	The Payment Schedule
The Consent to use of personal Information	The College's Student Complaint procedures
The College's Expulsion and Suspension Policy	The Sexual Violence Policy
The Statement of student rights and Responsibilities issued by the superintentdent of Private carrier colleges

Payment Schedule:

Cost Breakdown:			Funding Detail:
Tution: $	Books: $		Self-Funded	$
Total: $			MTCU	$
			Other	$

Student Payments		Amount		Source
1. Paid at time of signing		$
1. Amount to be paid as per below Schedule:		$
Total(1+2)		$

Schedule Details:

	Amount	Source
1	Amount: $	Source: $
2	Amount: $	Source: $
3	Amount: $	Source: $